在医疗保险人群中,药物不服药的非成本相关来源
Jason Petroski1, Kelly Strachan2, Nicholas Schluterman3
1Division of Drug Innovation, Centers for Medicare and Medicaid Services, CMS Innovation Center, Baltimore, MD 21244, United States.
Health affairs scholar
|December 12, 2024
概括
由于成本和非成本因素,许多医疗保险D部分受益人面临药物不服药. 了解这些不同的原因对于改善药物获取和服药计划至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 处方药价格上影响了美国人对药物的负担能力和获取.
- 以前的研究主要集中在与成本相关的药物不服药.
- 了解与成本无关的因素对于全面的遵守策略至关重要.
研究的目的:
- 调查医疗保险D部分受益人中自我报告的药物不服药的来源.
- 为了测量成本和非成本相关的药物不服药.
- 为了确定与不同类型的药物不服药相关的因素.
主要方法:
- 分析了2022年社区居住的医疗保险D部分受益人的自我报告数据.
- 将药物不服药分为与成本相关的和与成本无关的原因.
- 统计调整社会人口统计因素和参与计划 (低收入补贴).
主要成果:
- 13.7%的受益者报告了一些药物不服药;7.5%引用了成本,6.2%引用了非成本原因.
- 粮食不安全,功能状况不佳和对D部分福利缺乏理解与两种类型的不遵守有关.
- 低收入补贴受益人显示成本相关的不遵守率较低,但非成本相关的不遵守率较高.
结论:
- 非成本相关的因素,包括患者的偏好,信仰和对保险的理解,对药物不服药有很大影响.
- 未来医疗保险D部分的福利变化和创新模式应解决不遵守的成本和非成本驱动因素.
- 需要全面的战略来改善药物坚持,而不仅仅是解决药物价格问题.
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